MEDICARE: DR. PIPER ANN CALASANTI-AYUSTE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A100102	CA

General Provider Information

NPI Number	:	1831398601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIPER ANN CALASANTI-AYUSTE M.D.

Provider Business Mailing Address
First Line	:	3280 SAWTELLE BLVD APT 308
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1656
Country	:	US
Telephone Number	:	630-212-9470
Fax Number	:

Provider Business Practice Location Address
First Line	:	3280 SAWTELLE BLVD APT 308
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1656
Country	:	US
Telephone Number	:	630-212-9470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	10/10/2008

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